Rocky J. Chávez
- Republican
Author
(1) Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. Existing law provides that a health facility is eligible to receive supplemental reimbursement under the Medi‑Cal program if the facility has specified characteristics, including that the facility is owned or operated by the state, a county, a city, a city and county, or a health care district. Existing law prohibits claimed expenditures for specified nursing facility services, when combined with the amount received from all other sources of reimbursement from the Medi-Cal program, from exceeding 100% of projected costs, as determined pursuant to the Medi-Cal State Plan, for skilled nursing services at each facility. This bill would, instead, prohibit those claimed expenditures from exceeding 100% of allowable costs. The bill would require that supplemental reimbursement be subject to a reconciliation process established in the state plan to ensure that supplemental reimbursement is not made in excess of allowable costs, and to ensure that it is made up to allowable costs. (2) The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law, subject to federal approval, modifies the inpatient fee-for-service reimbursement methodology for nondesignated public hospitals, as defined, under a specified demonstration project for services on or after July 1, 2012. Existing law provides that beginning with the 2012–13 fiscal year, and if specified conditions are met, nondesignated public hospitals, or governmental entities with which the hospitals are affiliated, shall be eligible to receive safety net care pool payments for uncompensated care from the Health Care Support Fund. Existing law provides that these provisions shall become operative on the date that all necessary federal approvals have been obtained to implement these and other related provisions. Existing law requires designated public hospitals to report and certify specified information for each successor demonstration year beginning with the 2012−13 fiscal year. This bill would revise and recast those provisions. This bill would instead authorize the department to seek necessary federal approvals or waivers to separately implement the safety net care pool payments for uncompensated care provisions for the 2013–14 and 2014–15 fiscal years. The bill would require the state, if the state receives federal safety net care pool funds for uncompensated care under these provisions, to retain 12 of the funds for Medi-Cal related expenditures. (3) Under existing law, nondesignated public hospitals may receive fee-for-service payments for inpatient services, as specified. Under existing law, beginning with the 2012–13 fiscal year, subject to federal approval and if specified conditions are met, nondesignated public hospitals may receive delivery system reform incentive pool funding, as specified. This bill would eliminate those provisions.
Chaptered by Secretary of State - Chapter 672, Statutes of 2013.
Approved by the Governor.
Enrolled and presented to the Governor at 4:30 p.m.
From committee: That the Senate amendments be concurred in. (Ayes 18. Noes 0.) (September 12).
Joint Rule 62(a), file notice suspended. (Page 3337.)
Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2.
Read third time. Passed. Ordered to the Assembly. (Ayes 34. Noes 0. Page 2399.).
In Assembly. Concurrence in Senate amendments pending.
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 77. Noes 0. Page 3339.).
Assembly Rule 63 suspended. (Page 3339.)
From committee: Return to Senate floor for consideration. (Ayes 7. Noes 0.) (September 11).
Ordered to third reading.
From committee: Pursuant to Senate Rule 29.10, that the measure be re-referred to Com. on APPR pursuant to Joint Rule 10.5. (Ayes 7. Noes 0.) (September 11). Re-referred to Com. on APPR.
From committee: Be re-referred to Com. on HEALTH pursuant to Senate Rule 29.10. (Ayes 4. Noes 0.) Re-referred to Com. on HEALTH.
Re-referred to Com. on RLS. pursuant to Senate Rule 29.10(b).
Read second time. Ordered to third reading.
Read third time and amended. Ordered to second reading.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 7. Noes 0.) (August 30).
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.
In committee: Placed on APPR. suspense file.
In committee: Hearing postponed by committee.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (July 3). Re-referred to Com. on APPR.
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
Read third time. Passed. Ordered to the Senate. (Ayes 74. Noes 0. Page 1567.)
In Senate. Read first time. To Com. on RLS. for assignment.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 17. Noes 0.) (May 15).
Read second time and amended.
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 18. Noes 0.) (April 30).
From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
From printer. May be heard in committee March 23.
Read first time. To print.
| Bill Text Versions | Format |
|---|---|
| AB498 | HTML |
| 02/20/13 - Introduced | |
| 03/19/13 - Amended Assembly | |
| 04/23/13 - Amended Assembly | |
| 05/07/13 - Amended Assembly | |
| 06/20/13 - Amended Senate | |
| 08/20/13 - Amended Senate | |
| 09/05/13 - Amended Senate | |
| 09/19/13 - Enrolled | |
| 10/09/13 - Chaptered |
| Document | Format |
|---|---|
| No related documents. |
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